NPI | 1558924621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A176299) |
Additional Taxonomies | 174400000X Specialist |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-15 |
Last Update Date | 2023-07-12 |